Hannah Marie Brawn
Individual provider Active NPI Licensed Practical Nurse · Windham, OH
NPI 1619296803 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1619296803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 135020 (OH)
- Practice address
- 10164 State Route 303
Windham, OH 44288-9719 - Phone
- (330) 281-1155
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135020 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 135020 | OH | Yes |
Addresses
Primary practice location
10164 State Route 303
Windham, OH 44288-9719
Mailing address
10164 State Route 303
Windham, OH 44288-9719
Phone (330) 281-1155
Other providers in Windham, OH
- Danielle Tiesha Askew
- Maureen Anne Brawn
- Andrea Brown
- Marissa Faye Campisi
- Johnathan T Carey
- Tina Marie Carey
All providers in Windham, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.